Healthcare Provider Details

I. General information

NPI: 1316839822
Provider Name (Legal Business Name): TRANQUILITY LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 FAIRFAX CT
VALLEJO CA
94591-4737
US

IV. Provider business mailing address

2041 EAST ST STE 701
CONCORD CA
94520-2126
US

V. Phone/Fax

Practice location:
  • Phone: 707-731-1132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANA TANNER
Title or Position: ADMIN ASSISTANT
Credential:
Phone: 801-819-6675